NCLEX Questions, NCLEX Practice Test RN Questions, NCLEX-RN Questions, Nurselytic

Questions 158

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Question 1 of 5

A client is admitted with a diagnosis of pernicious anemia. Which of the following signs or symptoms would indicate that the client has been noncompliant with ordered B12 injections?

Correct Answer: C

Rationale: Paresthesia of hands and feet indicates B12 deficiency due to noncompliance with injections, as B12 is needed for nerve function. Hyperactivity (
A), weight gain (
B), and diarrhea (
D) are not specific to B12 deficiency.

Question 2 of 5

A pregnant client during labor is irritable and feels the urge to vomit. The nurse should recognize this as the:

Correct Answer: C

Rationale: The transition stage is characterized by irritability, nausea, and strong contractions as the cervix completes dilation.

Question 3 of 5

The client is admitted with a diagnosis of postpartum depression. Which medication is most likely to be ordered?

Correct Answer: B

Rationale: Postpartum depression is treated with antidepressants (e.g. SSRIs) to address mood symptoms. Antibiotics magnesium sulfate and tocolytics are used for other conditions not depression.

Question 4 of 5

A client with cervical cancer has a radioactive implant. Which statement indicates that the client understands the nurse's teaching regarding radioactive implants?

Correct Answer: C

Rationale: Clients with radioactive implants can use the bedside commode if permitted, indicating understanding of mobility restrictions. Visitor limitations, catheters, and side effects depend on the specific protocol.

Question 5 of 5

Which finding in the patient's history contraindicates the use of Imitrex (sumatriptan) for the prevention of migraine headaches?

Correct Answer: B

Rationale: Sumatriptan (Imitrex) is a vasoconstrictor contraindicated in patients with angina due to the risk of coronary artery vasoconstriction and ischemia. Diabetes renal calculi and peptic ulcer disease are not contraindications for sumatriptan.

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